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City of Everett Work Activity <br />__�. __�,,, _ ___..._�.,V___ <br />xService Request # _. 00152101 <br />Date Issued �- �-�v _._�_r_._._ <br />Issued By � � '� <br />xl�zitials <br />Work Order Information <br />----- <br />WO# Assigned �� � � � �, � � - - <br />XFull na»ze <br />_. _ _. _. _ t3' <br />- <br />120 i�� 840 108 611 <br />Fund � � Program Function Activi - <br />*Job Cost No. <br />Title <br />....--, ..- - . -- .. <br />I _� _ �___.. - �.�..� _----- ,�Project No. � <br />Sidewalk Repiacement <br />.__ <br />*Rel. T�ork Order 20050387 , <br />Address <br />Pre-direction Street <br />_ .__ _...� <br />2605 _ ----- ��, Maple _� <br />XCity � � <br />XIf ��ot "Everett" spec� ��hich Ciry <br />Problem Information <br />Street Type Post-direction <br />ST <br />r. ____ <br />Structure/Equipment Information <br />- __ .:��.�.. , w <br />Struct/E ui T e��^_�- M-�� V^y Problem �`TM` �--- <br />9 P YP <br />Struct/Equip No. -- - Sub Problem ' <br />Structure/Equip�nent type when applicable <br />, _. _ <br />*Feet � ' *Desc�•iptiofz - - <br />*Conzments Bill to : Joseph Laclz _ _ ' <br />2605 Maple ST, Everett, WA. 98201 <br />Concrete : 3. 75 cu. yd. @$98.50 pe�� cu. yd �369.37 <br />_ _ _ _ <br />�old Type = Ndandatory fields to be populated <br />�Italic = Optional fields <br />